			<div id="parfums_left_b_form">
				<br />
				{{=trad('Thank you for submitting your details.', APPLNG)}}
				<br />
				{{=trad('We will be posting you your ' . aff_fo(get_s('good_sample_name')) . ' sample very soon.', APPLNG)}}
			</div>
			<div id="parfums_right_h1_form">
				<h1 {{if(get_s('id_sample_suite') == 1):}}style="font-size: 40px; line-eight: 40px;"{{endif;}}>
					{{=aff_fo(get_s('good_sample_name'))}} Sample
				</h1>
			</div>